NPI | 1457199002 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA PATERNOSTER Owner 208-244-6424 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2024-07-17 |
Last Update Date | 2024-07-17 |